A priori codes for thematic analysis–including subordinate themes |
A |
Work with stakeholders who are ready for implementation–nationally, in-facility |
B |
Include all stakeholders–professional associations, UN health agencies, maternal/neonatal, public/private |
C |
Make a national plan including the Ministry of Health–accommodating new inputs/unforeseen changes, realistic and phased |
D |
Designate leadership for carrying out the national plan |
E |
Define the role of stakeholders clearly–site x time, small-scale partnerships, collaboration to avoid compartmentalization |
F |
Have a system for accountability that is transparent to all parties–nationally, in-facility |
G |
Establish a system for training–train-the-trainer-and-provider cascade, fidelity, coverage, adaptation of materials, integration of maternal/neonatal content, video |
H |
Conduct training in-facility–local ownership, prioritized content, high staff coverage |
I |
Conduct low-dose, high-frequency practice–tailored to needs, incentivized, self-evaluation checklists, video |
J |
Identify a local champion in-facility |
K |
Introduce programs (or content) into pre-service curricula |
L |
Support a facility-based improvement process using HBS/HMS outcome/process measures–flexible leadership, various sources of materials, content based on needs |
M |
Build a reliable supply chain/procurement/maintenance/reprocessing system |
N |
Encourage community participation/mobilization–awareness/advocacy, family training for out-of-facility births and essential newborn care |
O |
Collect data on core set of outcomes |
P |
Align national health registry data and facility-based data collection |
Q |
Utilize data for guiding improvement and budgeting |
R |
Enact policies/regulations supporting high-quality care–training, commodities, facilities, personnel |
S |
Budget at all levels to support high-quality care |
Emergent codes |
1 |
Integration |
a-between Ministry of Health, educational bodies, professional associations and hands-on workforce |
b-between maternal and neonatal domains at all process steps from readiness to funding to planning/stakeholder roles, training, practice (integrated scenarios), data |
c-health facilities and community–prenatal care, in-facility care, community follow-up |
d-regionalized care–how to get advanced help, time to advanced care, public and private facilities |
2 |
Empowerment of provider, pregnant woman, family |